After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?

Palpate lymph nodes for swelling.

Check temperature for elevation.

Inspect skin for bruising or petechiae.

Examine oral mucosa for ulceration.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Palpating lymph nodes for swelling is not directly related to thrombocytopenia. Thrombocytopenia is a condition characterized by a low platelet count, which can lead to easy bruising and bleeding. Checking lymph nodes is more relevant in assessing for infection or malignancy.

Choice B rationale:

Checking temperature for elevation is important for assessing infection, which could be a cause of thrombocytopenia. However, in this context, inspecting the skin for bruising or petechiae is more specific to thrombocytopenia. Petechiae are small, red or purple dots that appear on the skin when platelet count is low.

Choice D rationale:

Examining oral mucosa for ulceration is essential in the assessment of conditions like oral cancer or infection. While thrombocytopenia could lead to bleeding in the oral mucosa, it is not the most specific or immediate concern in a patient with known thrombocytopenia.

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Correct Answer is ["A","B","C"]

Explanation

Choice A rationale:

Fatigue can be a symptom of uncontrolled hypertension. Elevated blood pressure can strain the heart, leading to decreased cardiac output and inadequate oxygen supply to body tissues, which can result in fatigue.

Choice B rationale:

Dizziness is a common symptom of uncontrolled hypertension. High blood pressure can cause the blood vessels in the inner ear to rupture or leak, leading to dizziness and balance issues.

Choice C rationale:

Palpitations, which are sensations of rapid, strong, or irregular heartbeats, can occur in individuals with uncontrolled hypertension. Hypertension can lead to changes in the structure and function of the heart, causing palpitations.

Choice D rationale:

Cluster headaches are not directly associated with uncontrolled hypertension. Cluster headaches are severe headaches that occur in clusters, often at the same time of day for several weeks. These headaches are not a typical symptom of hypertension.

A. Formation of thrombus in the coronary artery. B. Formation of fibrous plaque in the endothelium. C. Reduction of blood flow through the coronary arteries. D. Development of fatty streaks in the smooth muscles of the endothelium.

Correct Answer is D

Explanation

Choice A rationale:

Thrombus formation is a later stage event in coronary artery disease (CAD) and occurs after the development of fatty streaks. Thrombus formation usually happens due to the rupture of atherosclerotic plaques, leading to platelet aggregation and clot formation.

Choice B rationale:

Formation of fibrous plaque in the endothelium is a progression that occurs after the initial development of fatty streaks. Fibrous plaques are formed as a response to the inflammation caused by fatty deposits. They are more stable than fatty streaks but can still lead to narrowing of the arteries.

Choice C rationale:

Reduction of blood flow through the coronary arteries is a consequence of atherosclerosis, which occurs after the initial development of fatty streaks. As the fatty deposits accumulate, they narrow the arteries, leading to reduced blood flow. However, this is not the initial change that makes patients susceptible to CAD.

Choice D rationale:

Development of fatty streaks in the smooth muscles of the endothelium is the initial change that occurs in the development of atherosclerosis, making patients susceptible to coronary artery disease. Fatty streaks are composed of lipid-laden macrophages and smooth muscle cells. Over time, these fatty streaks can progress into fibrous plaques and eventually lead to complications such as thrombus formation and reduced blood flow.

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After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides education to a patient about the symptoms of uncontrolled hypertension.Which symptom would the nurse include? Select all that apply.One, some, or all responses may be correct.

Correct Answer is ["A","B","C"]

Explanation

Which change occurs first, making patients susceptible to coronary artery disease?

Correct Answer is D

Explanation

The nurse receives a health care provider's prescription to change a patient's IV from D5. half-normal saline with 40 mEq KCl/L to DSNS with 20 mEq KCl/L. Which set of serum laboratory values supports the rationale for this IV prescription change?

A patient's blood pressure (BP) reading is 142/91 mm Hg. How would the nurse classify the BP?

A patient is diagnosed with primary hypertension and asks the nurse what caused the condition.Which response would the nurse give?

Which phrase describes the function of a buffer?

Which treatment is likely to be planned for a patient who develops pernicious anemia after a gastrectomy?

Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?

Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.